Faites référencer votre association

Remplissez ce formulaire si vous souhaitez apparaître sur notre carte des associations et lieux d'informations.

Après validation par les administrateurs du site, votre structure sera référencée dans notre annuaire et géolocalisée sur la carte de France.

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Association Name*

Subtitle

Street/Avenue*

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Phone*

Email (address@mail.ext)

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Facebook Link

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Instagram Link

Type of Cancer*

Thematic*

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